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目的 探讨老年缺血性脑血管病 (ICD)与颈动脉粥样硬化的相关性。方法 依有无临床症状及头颅CT或MRI检查结果 ,将 85例老龄患者分为 3组 :非梗死组 (NI组 )、无症状性脑梗死组 (AI组 )和症状性脑梗死组(SI组 ) ,各组病人均行颈部血管彩色多普勒显像检查。结果 SI组和AI组斑块指数增高、颈动脉内 -中膜厚度(IMT)增加、颈内动脉 (CIA)及颈总动脉 (CCA)内径均较低 ,与NI组相比有统计学意义 ;SI组斑块指数、IMT较AI组亦有显著增高。结论 ICD与颈动脉粥样硬化密切相关 ,颈动脉粥样硬化可作为预测及评价ICD的重要指标之一。
Objective To investigate the relationship between senile ischemic cerebrovascular disease (ICD) and carotid atherosclerosis. Methods Eighty-five elderly patients were divided into three groups: non-infarction group (NI group), asymptomatic cerebral infarction group (AI group) and symptomatic cerebral infarction group (SI group) according to the presence of no clinical symptoms and cranial CT or MRI findings Group), each group of patients underwent cervical vascular color Doppler imaging. Results The index of plaque in group SI and group AI were increased, the IMT of carotid artery was increased, the internal diameters of carotid artery (CIA) and common carotid artery (CCA) were lower, which were significantly lower than those in NI group ; SI group plaque index, IMT than AI group also increased significantly. Conclusion ICD is closely related to carotid atherosclerosis. Carotid atherosclerosis may be one of the important indexes for predicting and evaluating ICD.